NPI | 1487245585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007375) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TF0000X Psychologist, Family | |
103TF0200X Psychologist, Forensic | |
103T00000X Psychologist | |
Enumeration Date | 2021-02-01 |
Last Update Date | 2024-07-20 |