| NPI | 1073753653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1405) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: GA PSY 002463) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: GA PSY 002463) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY 002463) | |
| 103TC1900X Psychologist Counseling (Licence: GA PSY 002463) | |
| 103TH0004X Psychologist Health (Licence: SC 1405) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: GA PSY 002463) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: GA PSY 002463) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2020-06-04 |