| NPI | 1942641055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 2839) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2839) |
| 101YP2500X Counselor, Professional (Licence: TN 2839) | |
| 101YS0200X Counselor, School (Licence: TN 2839) | |
| 102X00000X Poetry Therapist (Licence: TN 2839) | |
| 103T00000X Psychologist (Licence: TN 2839) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TN 2839) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TN 2839) | |
| 103TC0700X Psychologist, Clinical (Licence: TN 2839) | |
| 103TC1900X Psychologist, Counseling (Licence: TN 2839) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 2839) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: TN 2839) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TN 2839) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TN 2839) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 2839) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |