NPI | 1528270105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY4780) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY4780) |
103TC0700X Psychologist, Clinical (Licence: FL PY4780) | |
103TF0000X Psychologist, Family (Licence: FL PY4780) | |
103TH0004X Psychologist, Health (Licence: FL PY4780) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY4780) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-07-08 |