| NPI | 1578977120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4622) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 4622) |
| 103TF0000X Psychologist Family (Licence: NC 4622) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NC 4622) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |