| NPI | 1538241336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04274) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 04274) |
| 103TC1900X Psychologist, Counseling (Licence: MD 04274) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04274) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MD 04274) | |
| 103T00000X Psychologist (Licence: MD 04274) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-01-21 |