| NPI | 1275687329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2735) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 8029) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: WI 2735) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WI 2735-057) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-03-03 |