| NPI | 1043302672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AL 639) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: AL 639) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AL 639) | |
| 103TC0700X Psychologist Clinical (Licence: AL 639) | |
| 103TF0000X Psychologist Family (Licence: AL 639) | |
| 103T00000X Psychologist (Licence: AL 639) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AL 639) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |