| 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 |