NPI | 1336515873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5013) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 5013) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 5013) | |
Enumeration Date | 2015-08-19 |
Last Update Date | 2022-08-23 |