| NPI | 1518154038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 3927) |
| Additional Taxonomies | 103TF0000X Psychologist Family |
| 103TF0200X Psychologist Forensic | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-04-26 |