| NPI | 1669772455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 05285) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MD 05285) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MD 05285) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 05285) | |
| 103K00000X Behavior Analyst (Licence: MD 05285) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-08-05 |