| NPI | 1598892762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: MD 01777) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 01777) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 01777) | |
| 103T00000X Psychologist (Licence: MD 01777) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |