| NPI | 1093936239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 1453) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 1453) |
| 103TE1100X Psychologist Exercise & Sports (Licence: NC 1453) | |
| 103TF0000X Psychologist Family (Licence: NC 1453) | |
| 103TH0100X Psychologist Health Service (Licence: NC 1453) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-07-17 |