NPI | 1912045956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 1-06-3200) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: AZ 1-06-3200) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-07-08 |