NPI | 1346381795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301012213) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012213) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301012213) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |