| NPI | 1184873721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9367) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 3248) |
| 103T00000X Psychologist (Licence: CT 3248) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 3248) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 3248) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 3248) | |
| 103TF0200X Psychologist, Forensic (Licence: CT 3248) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CT 3248) | |
| 103TH0004X Psychologist, Health (Licence: CT 3248) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2014-10-05 |