| NPI | 1013392364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1555) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: HI PSY-1555) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: HI PSY-1555) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: HI PSY-1555) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |