NPI | 1942027271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1727) |
Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1727) |
103TA0700X Psychologist, Adult Development & Aging | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2024-09-26 |
Last Update Date | 2024-09-26 |