| NPI | 1467624668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 03207) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 03207) |
| 103T00000X Psychologist (Licence: MD 03207) | |
| 103TH0100X Psychologist, Health Service (Licence: MD 03207) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2012-03-02 |