| NPI | 1194001933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 4121) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4121) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: PR 4121) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: PR 4121) | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TF0000X Psychologist Family (Licence: PR 4121) | |
| 103TH0004X Psychologist Health | |
| 103TH0004X Psychologist Health (Licence: PR 4121) | |
| 103TH0100X Psychologist Health Service | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PR 4121) | |
| 103TR0400X Psychologist Rehabilitation | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2018-03-23 |