| NPI | 1801843438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MA 7291) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 7291) |
| 103TC1900X Psychologist Counseling (Licence: MA 7291) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MA 7291) | |
| 103TF0000X Psychologist Family (Licence: MA 7291) | |
| 103TH0100X Psychologist Health Service (Licence: MA 7291) | |
| 103T00000X Psychologist (Licence: MA 7291) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MA 7291) | |
| 103TS0200X Psychologist School (Licence: MA 7291) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-07-08 |