NPI | 1447315049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 6495) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 6495) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 6495) | |
103TC0700X Psychologist, Clinical (Licence: MA 6495) | |
103TH0004X Psychologist, Health (Licence: MA 6495) | |
103TH0100X Psychologist, Health Service (Licence: MA 6495) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2016-04-01 |