NPI | 1730233313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301003342) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301003342) |
103TE1100X Psychologist, Exercise & Sports (Licence: MI 6301003342) | |
103TH0100X Psychologist, Health Service (Licence: MI 6301003342) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301003342) | |
103TR0400X Psychologist, Rehabilitation (Licence: MI 6301003342) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-12-14 |