NPI | 1245241769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL SS0000519) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS0000519) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL SS0000519) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2011-09-03 |