| NPI | 1144697657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: LA 1317) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA 1317) |
| 103TC0700X Psychologist, Clinical (Licence: LA 1317) | |
| 103T00000X Psychologist (Licence: LA 1317) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: KY 1317) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2022-08-15 |