| NPI | 1730225624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 2717) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2717) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 2717) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: PR 2717) | |
| 103TF0200X Psychologist, Forensic (Licence: PR 2717) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PR 2717) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: PR 2717) | |
| 103T00000X Psychologist (Licence: PR 2717) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 2717) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |