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 |