| NPI | 1841250487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301006724) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301006724) |
| 103TS0200X Psychologist, School (Licence: MI 6301006724) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |