NPI | 1700923299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3240) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ 3240) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3240) | |
103TC0700X Psychologist, Clinical (Licence: AZ 3240) | |
103TH0100X Psychologist, Health Service (Licence: AZ 3240) | |
103TF0200X Psychologist, Forensic (Licence: AZ 3240) | |
103TR0400X Psychologist, Rehabilitation (Licence: AZ PSY-003240) | |
103T00000X Psychologist (Licence: AZ 3240) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2022-12-08 |