| NPI | 1194311985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 102L00000X Psychoanalyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |