| NPI | 1649471343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05161) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 016925) |
| 103T00000X Psychologist (Licence: NY 016925-1) | |
| 103TC1900X Psychologist Counseling (Licence: NY 016925) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 016925) | |
| 103T00000X Psychologist (Licence: MN LP4786) | |
| 103TH0004X Psychologist Health (Licence: MN LP4786) | |
| 103TH0004X Psychologist Health (Licence: NY 016925) | |
| 103TC0700X Psychologist Clinical (Licence: MN LP4786) | |
| 103TC1900X Psychologist Counseling (Licence: MN LP4786) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MN LP4786) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-05-12 |