| NPI | 1346418050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 1350) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 1350) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MD 1350) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2010-09-23 |