NPI | 1861674830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1328) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 1328) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-03 |