| NPI | 1588060453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1958) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AL 1958) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AL 1958) | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2015-06-28 |