| NPI | 1407291149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 914) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NE 914) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NE 914) | |
| 103TC0700X Psychologist, Clinical (Licence: NE 914) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-09-26 |