| NPI | 1700566080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0006208) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NE 525) |
| 103TC1900X Psychologist Counseling (Licence: NE PSY.0006208) | |
| 103TF0200X Psychologist Forensic (Licence: CO PSY.0006208) | |
| 103TF0200X Psychologist Forensic (Licence: NE 525) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NE PSY.0006208) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NE PSY.0006208) | |
| 103T00000X Psychologist (Licence: NE PSY.0006208) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CO PSY.0006208) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-06-18 |