| NPI | 1306442108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004445) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: GA PSY004445) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY10718) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: GA PSY004445) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: GA PSY004445) | |
| 103T00000X Psychologist (Licence: FL PY10718) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY10718) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY004445) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10718) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY10718) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004445) | |
| 103TH0004X Psychologist, Health (Licence: FL PY10718) | |
| 103TH0004X Psychologist, Health (Licence: GA PSY004445) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: FL PY10718) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |