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 |