NPI | 1013382928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000907) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC PSY1000907) |
103TP2701X Psychologist, Group Psychotherapy (Licence: DC PSY1000907) | |
Enumeration Date | 2015-12-02 |
Last Update Date | 2021-02-03 |