| NPI | 1518151331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 8362155-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 19820) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 19820) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 19820) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2012-10-15 |