| NPI | 1609039544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3636) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 3636) |
| 103TF0200X Psychologist, Forensic (Licence: CT 3636) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CT 3636) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-06-16 |