| NPI | 1174539688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3551) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NC 3551) |
| 103T00000X Psychologist (Licence: NC 3551) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 3551) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3551) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NC 3551) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 3551) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-06-05 |