NPI | 1356437461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 00980) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IA 00980) |
103T00000X Psychologist (Licence: IA 00980) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 00980) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |