NPI | 1558575845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY0003661) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY0003661) |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY0003661) | |
103TF0000X Psychologist Family (Licence: FL PY0003661) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |