NPI | 1780717256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002527) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CT 002527) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CT 002527) | |
103TC0700X Psychologist, Clinical (Licence: CT 002527) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002527) | |
103T00000X Psychologist (Licence: CT 002527) | |
103TF0000X Psychologist, Family (Licence: CT 002527) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CT 002527) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |