| NPI | 1659579670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8345) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103T00000X Psychologist (Licence: NE 691) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-03-29 |