| NPI | 1386704278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1505) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-06-02 |