| NPI | 1710044979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0504) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0504) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NV PY0504) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PY0504) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NV PY0504) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-06-29 |