| NPI | 1548274830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2342 HSP-P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2342 HSP-P) |
| 103T00000X Psychologist (Licence: NC 2342) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 2342) | |
| 103TH0004X Psychologist, Health (Licence: NC 2342) | |
| 103TH0100X Psychologist, Health Service (Licence: NC 2342 HSP-P) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 2342 HSP-P) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 2342) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2009-05-18 |