| NPI | 1649200924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: NC 2082) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 2082) |
| 103T00000X Psychologist (Licence: NC 2082) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NC 2082) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |