| NPI | 1558510057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 014828) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04364) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000354) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: DC PSY1000354) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 014828) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MD 04364) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |