| NPI | 1306158001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 2748057) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WI 2748057) |
| 103TH0004X Psychologist Health (Licence: WI 2748057) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WI 2748057) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |