| NPI | 1710061098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 3392) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3392) |
| 103TF0000X Psychologist Family (Licence: NC 3392) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 3392) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 3392) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NC 3392) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-08-01 |