NPI | 1346689353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL SS692) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL SS692) |
103TS0200X Psychologist School (Licence: FL SS692) | |
Enumeration Date | 2013-06-24 |
Last Update Date | 2013-06-24 |