| NPI | 1649310467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 400) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NE 400) | |
| 103TF0000X Psychologist, Family (Licence: NE 400) | |
| 103TC0700X Psychologist, Clinical (Licence: NE 400) | |
| 103TC1900X Psychologist, Counseling (Licence: NE 400) | |
| 103TF0200X Psychologist, Forensic (Licence: NE 400) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NE 400) | |
| 103TH0100X Psychologist, Health Service (Licence: NE 400) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-10-02 |