NPI | 1366583296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NM 734) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NM 734) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 734) | |
103TC0700X Psychologist, Clinical (Licence: NM 734) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-12-06 |