| NPI | 1467737213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: LA 847) |
| 103T00000X Psychologist (Licence: LA 847) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA 847) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 847) | |
| 103TF0000X Psychologist, Family (Licence: LA 847) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: LA 847) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: LA 847) | |
| 103TS0200X Psychologist, School (Licence: LA 847) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2022-03-14 |