NPI | 1467411942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1687) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 1687) |
103TP2701X Psychologist, Group Psychotherapy (Licence: NC 1687) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: NC 1687) | |
103TF0000X Psychologist, Family (Licence: NC 1687) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1687) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2007-07-08 |