| NPI | 1558436964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM 0797) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0200X Psychologist, Forensic | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-09-05 |