NPI | 1770785933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: GA 3075) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 3075) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 3075) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2008-10-27 |