| NPI | 1497067482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9170) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2013-02-27 |