| NPI | 1477785202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810004532) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: VA 0810004532) |
| 103TH0004X Psychologist Health (Licence: VA 0810004532) | |
| 103TC0700X Psychologist Clinical (Licence: VA 0810004532) | |
| 103TF0000X Psychologist Family (Licence: VA 0810004532) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2012-12-03 |