| NPI | 1396835468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 737) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 737) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AL 737) | |
| 103TF0000X Psychologist Family (Licence: AL 737) | |
| 103TF0200X Psychologist Forensic (Licence: AL 737) | |
| 103TH0100X Psychologist Health Service (Licence: AL 737) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: AL 737) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AL 737) | |
| 103TS0200X Psychologist School (Licence: AL 737) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-08-09 |