| NPI | 1730484494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: CO 0003566) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO 000329488) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2015-03-19 |