| NPI | 1184034126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005430) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1275) |
| 103TH0004X Psychologist, Health (Licence: LA 1275) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: LA 1275) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA 1275) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-03-21 |