| NPI | 1376611475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 2436) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 2436) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: GA 2436) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: GA 2436) | |
| 103TC0700X Psychologist, Clinical (Licence: GA 2436) | |
| 103TF0200X Psychologist, Forensic (Licence: GA 2436) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: GA 2436) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: GA 2436) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: GA 2436) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-04-14 |