| NPI | 1649632407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 16-03AP-PL) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AR 16-03AP-PL) |
| 103TC1900X Psychologist, Counseling (Licence: AR 16-03AP-PL) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AR 16-03AP-PL) | |
| 103TF0000X Psychologist, Family (Licence: AR 16-03AP-PL) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AR 16-03AP-PL) | |
| 103TS0200X Psychologist, School (Licence: AR 16-03AP-PL) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-10-25 |