| NPI | 1194856484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: VA 0810001739) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: VA 0910001739) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0910001739) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0910001739) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0910001739) | |
| 103TF0000X Psychologist, Family (Licence: VA 0910001739) | |
| 103TF0200X Psychologist, Forensic (Licence: VA 0910001739) | |
| 103T00000X Psychologist (Licence: VA 0910001739) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: VA 0910001739) | |
| 103TS0200X Psychologist, School (Licence: VA 0910001739) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |