| NPI | 1386843993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 830) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 830) |
| 103TC0700X Psychologist, Clinical (Licence: MD 830) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2015-01-20 |