| NPI | 1356839161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WV 771) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 771) |
| 101YM0800X Counselor Mental Health (Licence: WV 771) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: WV 771) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WV 771) | |
| 103TF0000X Psychologist Family (Licence: WV 771) | |
| 103TF0200X Psychologist Forensic (Licence: WV 771) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WV 771) | |
| 106H00000X Marriage & Family Therapist (Licence: WV 771) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |