| NPI | 1669846366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 004108) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PR 004108) |
| 103TC1900X Psychologist Counseling (Licence: PR 004108) | |
| 103TH0004X Psychologist Health (Licence: PR 004108) | |
| 103TH0100X Psychologist Health Service (Licence: PR 004108) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |