NPI | 1457792830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3734) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
103TS0200X Psychologist, School | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-07-12 |