| NPI | 1760101851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 7440) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 7440) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 7440) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: 7440) | |
| 103TH0004X Psychologist, Health (Licence: PR 7440) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 7440) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-09-10 |