NPI | 1790283539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV 0828) |
Additional Taxonomies | 103T00000X Psychologist |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TH0100X Psychologist, Health Service | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2018-01-26 |
Last Update Date | 2023-09-12 |