| NPI | 1063677003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 0764) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 0764) |
| 103TF0000X Psychologist, Family (Licence: NM 0764) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2010-04-19 |