| NPI | 1073826186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TP0016X Psychologist Prescribing (Medical) |
| 102L00000X Psychoanalyst | |
| 103TR0400X Psychologist Rehabilitation | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TF0200X Psychologist Forensic | |
| 103TS0200X Psychologist School | |
| 173F00000X Sleep Specialist, PhD | |
| 102X00000X Poetry Therapist | |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2010-08-25 |