| NPI | 1396915328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 37001) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NM 1365) |
| 103TF0200X Psychologist Forensic (Licence: NM 1365) | |
| 103TF0200X Psychologist Forensic (Licence: TX 37001) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NM 1365) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: TX 37001) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NM 1365) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 37001) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2015-08-28 |