| NPI | 1861566267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |