| NPI | 1346775459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4831) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 4831) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ 4831) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 4831) | |
| 103TC1900X Psychologist, Counseling (Licence: AZ 4831) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 4831) | |
| 103TF0000X Psychologist, Family (Licence: AZ 4831) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AZ 4831) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-05-09 |