| NPI | 1861517328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 1405) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 802) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 01405) | |
| 103TC1900X Psychologist, Counseling (Licence: KS 802) | |
| 103TC1900X Psychologist, Counseling (Licence: MO 01405) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 802) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 01405) | |
| 103TF0000X Psychologist, Family (Licence: KS 802) | |
| 103TF0000X Psychologist, Family (Licence: KS 01405) | |
| 103T00000X Psychologist (Licence: KS 01405) | |
| 103TS0200X Psychologist, School (Licence: MO 0290458) | |
| 103T00000X Psychologist (Licence: KS 802) | |
| 103T00000X Psychologist (Licence: MO 01405) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |