| NPI | 1336230150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 00825) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: IA 00349) |
| 103TC0700X Psychologist Clinical (Licence: IA 00825) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IA 00825) | |
| 103TF0000X Psychologist Family (Licence: IA 00825) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-08-31 |