NPI | 1255339461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TC0700X Psychologist, Clinical (Licence: AR 83-6P) | |
Enumeration Date | 2005-07-12 |
Last Update Date | 2025-09-11 |