| NPI | 1528319266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AR 12-09P) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: AR 12-09P) |
| 103TC0700X Psychologist Clinical (Licence: AR 12-09P) | |
| 103TH0004X Psychologist Health (Licence: AR 12-09P) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AR 12-09P) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-05-18 |