NPI | 1225014723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3101) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3101) |
103TH0100X Psychologist, Health Service (Licence: NC 3101) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3101) | |
Enumeration Date | 2005-12-16 |
Last Update Date | 2016-07-11 |