| NPI | 1366694937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2008011433) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 2008011433) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2008011433) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MO 2008011433) | |
| 103TS0200X Psychologist, School (Licence: MO 2008011433) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2024-05-21 |