| NPI | 1184740144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3858) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ 3858) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3858) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3858) | |
| 103TF0200X Psychologist, Forensic (Licence: AZ 3858) | |
| 103TH0100X Psychologist, Health Service (Licence: AZ 3858) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: AZ 3858) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-04-07 |