NPI | 1982996351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1014) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001146) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: IA 001146) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 001146) | |
Enumeration Date | 2011-05-04 |
Last Update Date | 2020-08-31 |