| NPI | 1821273608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN 2655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 1906) |
| Enumeration Date | 2007-12-30 |
| Last Update Date | 2008-04-08 |