NPI | 1306983424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6080) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY6080) |
103TC0700X Psychologist, Clinical (Licence: FL PY6080) | |
103TR0400X Psychologist, Rehabilitation (Licence: FL PY6080) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2021-06-11 |