| NPI | 1598806887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CO 1976) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1976) |
| 103TF0200X Psychologist, Forensic (Licence: CO 1976) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-01-19 |