| NPI | 1528109139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: AZ 3540) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3540) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3540) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3540) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: AZ 3540) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-05-19 |