| NPI | 1720730021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 274337) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: KY 274337) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KY 274337) | |
| 103TC1900X Psychologist, Counseling (Licence: KY 274337) | |
| 103T00000X Psychologist (Licence: KY 274337) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: KY 274337) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KY 274337) | |
| 103TF0000X Psychologist, Family (Licence: KY 274337) | |
| 103TH0004X Psychologist, Health (Licence: KY 274337) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: KY 274337) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: KY 274337) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2025-01-22 |