NPI | 1528258100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016254) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016254) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2010-03-11 |