NPI | 1518112424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3613) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 3613) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3613) | |
103TH0004X Psychologist, Health (Licence: NC 3613) | |
Enumeration Date | 2008-11-19 |
Last Update Date | 2009-04-07 |