| NPI | 1215005673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY307) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: HI PSY307) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: HI PSY307) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: HI PSY307) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-11-20 |