NPI | 1578905428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000726) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DE B1-0000726) |
103TA0700X Psychologist, Adult Development & Aging (Licence: DE B1-0000726) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: DE B1-0000726) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0000726) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: DE B1-0000726) | |
Enumeration Date | 2013-07-20 |
Last Update Date | 2013-07-20 |