| NPI | 1396172599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: SC 4662) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2016-04-14 |