| NPI | 1003292681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 111445) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103T00000X Psychologist (Licence: IA 111445) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IA 111445) | |
| 103TH0004X Psychologist, Health (Licence: IA 111445) | |
| 103TH0100X Psychologist, Health Service (Licence: IA 111445) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IA 111445) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-10-12 |