| NPI | 1225308448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SC 4585) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: SC 4585) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: SC 4585) | |
| 103TF0000X Psychologist, Family (Licence: SC 4585) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: SC 4585) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |