| NPI | 1902081367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P1268) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: TN P1268) |
| 103TC0700X Psychologist Clinical (Licence: TN P1268) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TN P1268) | |
| 103TF0000X Psychologist Family (Licence: TN P1268) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |