| NPI | 1851547442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NM 329574) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TC0700X Psychologist, Clinical (Licence: NM 1282) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2013-09-25 |