| NPI | 1346230802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: UT 1174072501) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: UT 1174072501) |
| 103TC0700X Psychologist, Clinical (Licence: UT 1174072501) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |