| NPI | 1437332236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: AL 1117) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1117) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AL 1117) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AL 1117) | |
| 103TF0000X Psychologist Family (Licence: AL 1117) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AL 1117) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |