| NPI | 1326278953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3729) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3729) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3729) | |
| 103TC1900X Psychologist, Counseling (Licence: AZ 3729) | |
| 103TF0000X Psychologist, Family (Licence: AZ 3729) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AZ 3729) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2025-03-17 |