| NPI | 1497847156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 435) |
| 103TS0200X Psychologist School (Licence: NH 79885) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103G00000X Clinical Neuropsychologist | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-09-04 |