NPI | 1750594602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7494) |
Additional Taxonomies | 103T00000X Psychologist |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC0700X Psychologist Clinical (Licence: FL PY7494) | |
103TC1900X Psychologist Counseling | |
103TC2200X Psychologist Clinical Child & Adolescent | |
103TF0000X Psychologist Family | |
103TP2701X Psychologist Group Psychotherapy | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-12-18 |