NPI | 1063070191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11522) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MA 11522) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 11522) | |
103TC0700X Psychologist, Clinical (Licence: MA 11522) | |
103TH0100X Psychologist, Health Service (Licence: MA 11522) | |
Enumeration Date | 2019-06-04 |
Last Update Date | 2021-10-20 |