| NPI | 1639211618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3968) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 022536) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AZ 3968) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 3968) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 022536) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 022536) | |
| 103TH0004X Psychologist Health (Licence: AZ 3968) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-09-09 |