NPI | 1447643382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016085) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301016085) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301016085) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301016085) | |
103TR0400X Psychologist, Rehabilitation (Licence: MI 6301016085) | |
Enumeration Date | 2015-03-17 |
Last Update Date | 2015-03-17 |