| NPI | 1407079213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 03260) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 03260) |
| 103T00000X Psychologist (Licence: DC 1826) | |
| 103TC0700X Psychologist, Clinical (Licence: DC 1826) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 3260) | |
| 103TF0000X Psychologist, Family (Licence: MD 03260) | |
| 103TF0000X Psychologist, Family (Licence: DC 1826) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 03260) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: DC 1826) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-03-23 |