| 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 |