| NPI | 1376726604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013756) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013756) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301013756) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301013756) | |
| 103TH0004X Psychologist, Health (Licence: MI 6301013756) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301013756) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-01-29 |