| NPI | 1164552386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AZ 1959) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: AZ 1959) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 1959) | |
| 103TC0700X Psychologist Clinical (Licence: AZ 1959) | |
| 103TC1900X Psychologist Counseling (Licence: AZ 1959) | |
| 103TF0000X Psychologist Family (Licence: AZ 1959) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AZ 1959) | |
| 103T00000X Psychologist (Licence: AZ 1959) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |