| NPI | 1780811307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0128109) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC 1000547) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2017-04-25 |