NPI | 1043408099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
Enumeration Date | 2007-10-03 |
Last Update Date | 2010-07-20 |