| NPI | 1841715018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2704) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OR 2704) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: OR 2704) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 2704) | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OR 2704) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |