NPI | 1861790248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 001901) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 001901) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 001901) | |
103TS0200X Psychologist, School (Licence: GA 001901) | |
Enumeration Date | 2011-03-08 |
Last Update Date | 2011-03-08 |