NPI | 1780618165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1402) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 1402) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CO 1402) | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CO 1402) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 1402) | |
103TR0400X Psychologist, Rehabilitation (Licence: CO 1402) | |
103TH0004X Psychologist, Health (Licence: CO 1402) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-16 |