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 |