NPI | 1548308000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 1474) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 1474) |
103TC0700X Psychologist, Clinical (Licence: MD 1474) | |
103TC1900X Psychologist, Counseling (Licence: MD 1474) | |
103TF0000X Psychologist, Family (Licence: MD 1474) | |
103T00000X Psychologist (Licence: MD 01474) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MD 1474) | |
103T00000X Psychologist (Licence: MD 1474) | |
Enumeration Date | 2007-02-04 |
Last Update Date | 2007-07-08 |