| NPI | 1699862342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 0480000778) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 048-0000778) |
| 103TC1900X Psychologist, Counseling (Licence: VT 048-0000778) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VT 048-0000778) | |
| 103TF0000X Psychologist, Family (Licence: VT 048-0000778) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-05-15 |