| 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 |