| NPI | 1275860462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 997) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WV 0) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: 997) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: 997) | |
| 103TC1900X Psychologist, Counseling (Licence: WV 997) | |
| 103TF0000X Psychologist, Family (Licence: 997) | |
| 103TF0200X Psychologist, Forensic (Licence: 997) | |
| 106H00000X Marriage & Family Therapist (Licence: 997) | |
| 103TF0200X Psychologist, Forensic (Licence: WV 997) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: WV 997) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WV 997) | |
| 103T00000X Psychologist (Licence: WV 997) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2022-07-21 |