| NPI | 1336524495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: ZZ 261-4781399) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103TF0200X Psychologist Forensic | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 103TP0814X Psychologist Psychoanalysis | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TR0400X Psychologist Rehabilitation | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-08-07 |