| NPI | 1710284344 |
|---|---|
| Former Name | EMILY CUNDIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 04866) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: MD 04866) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MD 04866) | |
| 103TF0000X Psychologist Family (Licence: MD 04866) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MD 04866) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2012-10-08 |