| NPI | 1285111955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 5986) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PR 5986) |
| 103TF0200X Psychologist, Forensic (Licence: PR 5986) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 5986) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 5986) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: PR 5986) | |
| 103TC1900X Psychologist, Counseling (Licence: PR 5986) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 5986) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PR 5986) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2026-07-08 |