| NPI | 1639138639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1131) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1131) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1131) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 1131) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-12-22 |