NPI | 1659770139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PSY26330) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC0700X Psychologist, Clinical (Licence: CA PSY26330) | |
103TC1900X Psychologist, Counseling | |
103TS0200X Psychologist, School | |
Enumeration Date | 2014-08-20 |
Last Update Date | 2014-08-20 |