NPI | 1710108691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0319) |
Additional Taxonomies | 103T00000X Psychologist |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TF0200X Psychologist, Forensic | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2021-07-07 |