| NPI | 1851330575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2888) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 2888) | |
| 103TF0000X Psychologist, Family (Licence: NC 2888) | |
| 103T00000X Psychologist (Licence: NC 2888) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-06-04 |