| NPI | 1487110383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810006090) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: VA 0810006090) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: VA 0810006069) | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |