| NPI | 1588798607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 4941) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MD 4941) |
| 103TP0814X Psychologist Psychoanalysis (Licence: MD 4941) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MD 4941) | |
| 103TS0200X Psychologist School (Licence: MD 4941) | |
| 106H00000X Marriage & Family Therapist (Licence: MD 4941) | |
| 103T00000X Psychologist (Licence: MD 04941Q) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MD 4941) | |
| 103TC0700X Psychologist Clinical (Licence: MD 04941) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 4941) | |
| 103TF0000X Psychologist Family (Licence: MD 4941) | |
| 103T00000X Psychologist (Licence: MD 4941) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2025-04-01 |