NPI | 1578650313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 874) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-08-22 |