| NPI | 1427780378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3786) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 3786) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 3786) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 3786) | |
| 103TC0700X Psychologist, Clinical (Licence: OR 3786) | |
| 103TC1900X Psychologist, Counseling (Licence: OR 3786) | |
| 103T00000X Psychologist (Licence: OR 3786) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-01-02 |