| NPI | 1134383953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2345) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: PR 2345) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 2345) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 2345) | |
| 103TF0000X Psychologist, Family (Licence: PR 2345) | |
| 103TH0100X Psychologist, Health Service (Licence: PR 2345) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 2345) | |
| 103TS0200X Psychologist, School (Licence: PR 2345) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |