NPI | 1366415176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WV 1189) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 081002011) |
103TC0700X Psychologist, Clinical (Licence: WV 1189) | |
Enumeration Date | 2006-02-10 |
Last Update Date | 2023-02-20 |