| NPI | 1154824605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |