| NPI | 1770773459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007030009) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: MO 2007030009) |
| 103TH0100X Psychologist, Health Service (Licence: MO 2007030009) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2007030009) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2007030009) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MO 2007030009) | |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2025-10-09 |