| NPI | 1588092134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 5298) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: PR 5298) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: PR 5298) | |
| 103TC1900X Psychologist Counseling (Licence: PR 5298) | |
| 103TF0000X Psychologist Family (Licence: PR 5298) | |
| 103TH0004X Psychologist Health (Licence: PR 5298) | |
| 103TH0100X Psychologist Health Service (Licence: PR 5298) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PR 5298) | |
| 103TR0400X Psychologist Rehabilitation (Licence: PR 5298) | |
| 103TS0200X Psychologist School (Licence: PR 5298) | |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |