| NPI | 1033354923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3558) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: SC 1094) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |