| NPI | 1194234971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PPY241) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY10116) |
| 103K00000X Behavior Analyst (Licence: FL PY10116) | |
| 103T00000X Psychologist (Licence: FL PY10116) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY10116) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10116) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PPY241) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-08-24 |