NPI | 1295513703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3955) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3955) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: WI 3955) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: WI 3955) | |
Enumeration Date | 2023-09-18 |
Last Update Date | 2023-09-18 |