| NPI | 1851518344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1948) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 005058) |
| 103T00000X Psychologist (Licence: OR 1948) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 1948) | |
| 103K00000X Behavior Analyst (Licence: OR 1948) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-04-01 |