| NPI | 1700323359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 6383) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: PR 6383) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 6383) | |
| 103TH0004X Psychologist, Health (Licence: PR 6383) | |
| 103TH0100X Psychologist, Health Service (Licence: PR 6383) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 6383) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-03-10 |