| NPI | 1356385801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 1932) |
| 103TC0700X Psychologist Clinical (Licence: NC 1932) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 1932) | |
| 103T00000X Psychologist (Licence: NC 1932) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |