NPI | 1508985276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002029) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6301002029) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301002029) | |
103TF0000X Psychologist, Family (Licence: MI 6301002029) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2019-01-20 |