| NPI | 1538108519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3067) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 3067) |
| 103G00000X Clinical Neuropsychologist (Licence: VA 0810003480) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: VA 0810003480) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 3067) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3067) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810003480) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003480) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3067) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810003480) | |
| 103TF0000X Psychologist, Family (Licence: NC 3067) | |
| 103TF0000X Psychologist, Family (Licence: VA 0810003480) | |
| 103TH0004X Psychologist, Health (Licence: NC 3067) | |
| 103TH0004X Psychologist, Health (Licence: VA 0810003480) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 3067) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-05-31 |