NPI | 1518183862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC 353) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC 353) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC 353) | |
103TF0200X Psychologist, Forensic (Licence: DC 353) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: DC 353) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: DC 353) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-08-18 |