NPI | 1124249537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC 803) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: DC 803) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC 803) | |
103TC0700X Psychologist, Clinical (Licence: DC 803) | |
103TF0000X Psychologist, Family (Licence: DC 803) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: DC 803) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |