| NPI | 1982800918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AL 1380) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1380) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AL 1380) | |
| 103TF0200X Psychologist, Forensic (Licence: AL 1380) | |
| 103T00000X Psychologist (Licence: AL 1380) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-08-18 |