| NPI | 1659527877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04686) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013336) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301013336) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301013336) | |
| 103TH0004X Psychologist, Health (Licence: MI 6301013336) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301013336) | |
| 103T00000X Psychologist (Licence: MD 04686) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 04686) | |
| 103TH0004X Psychologist, Health (Licence: MD 04686) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 04686) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-11-03 |