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 |