| NPI | 1548308000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 1474) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 1474) |
| 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) | |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2025-09-11 |