| NPI | 1023197225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3427) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3427) |
| 103TC0700X Psychologist, Clinical (Licence: NC 3427) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-06-27 |