| NPI | 1316084817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 830) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 830) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ 830) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 830) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ 830) | |
| 103TF0200X Psychologist, Forensic (Licence: AZ 830) | |
| 103TH0100X Psychologist, Health Service (Licence: AZ 830) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: AZ 830) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-10-19 |