NPI | 1952752487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0003904) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSY.0003904) |
103TC0700X Psychologist, Clinical (Licence: CO PSY.0003904) | |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |