| NPI | 1568660041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 903) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: GA 903) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |