| NPI | 1790914356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007654) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: VA 0810007654) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810007654) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: VA 0810007654) | |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2025-07-30 |