| NPI | 1083908180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CO 769) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 769) |
| 103TC0700X Psychologist, Clinical (Licence: CO 769) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |