NPI | 1467573873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS971) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: ME PS971) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ME PS971) | |
103TF0000X Psychologist, Family (Licence: ME PS971) | |
103TF0200X Psychologist, Forensic (Licence: ME PS971) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: ME PS971) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2016-05-02 |