NPI | 1225203748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NC 2322) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 2322) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2008-04-25 |