| NPI | 1548444268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810003856) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810003856) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003856) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-04-13 |