| NPI | 1326260001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 4685) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 4685) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 013447) | |
| 103TC0700X Psychologist Clinical (Licence: NC 4685) | |
| 103TC0700X Psychologist Clinical (Licence: NY 013447) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 013447) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-06-06 |