| NPI | 1326398140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3089) |
| 103TC0700X Psychologist, Clinical (Licence: PR 3089) | |
| 103TC1900X Psychologist, Counseling (Licence: PR 3089) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2023-02-14 |