| NPI | 1821217043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: PR PR 946) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PR PR 946) |
| 103TC0700X Psychologist Clinical (Licence: PR PR 946) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PR PR 946) | |
| 103TF0200X Psychologist Forensic (Licence: PR PR 946) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-07-01 |