| NPI | 1285658732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3657) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2283) |
| 103TF0200X Psychologist, Forensic | |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-09-05 |