NPI | 1336204999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 1972) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 1972) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 1972) | |
103TH0100X Psychologist, Health Service (Licence: MA 1972) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MA 1972) | |
103T00000X Psychologist (Licence: MA 1972) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MA 1972) | |
103TR0400X Psychologist, Rehabilitation (Licence: MA 1972) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2010-09-23 |