| NPI | 1689041030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4752) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 4752) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 4752) | |
| 103TH0004X Psychologist, Health (Licence: NC 4752) | |
| 103TH0100X Psychologist, Health Service (Licence: NC 4752) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 4752) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |