NPI | 1093388720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TP2701X Psychologist, Group Psychotherapy | |
103TS0200X Psychologist, School | |
Enumeration Date | 2021-07-20 |
Last Update Date | 2021-07-20 |