| 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 |