| NPI | 1376553198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-793) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: HI PSY-793) |
| 103T00000X Psychologist (Licence: HI PSY-793) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-09 |