| NPI | 1851044457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 6612) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: PR 6612) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PR 6612) | |
| 103TC0700X Psychologist, Clinical (Licence: PR 6612) | |
| 103TC1900X Psychologist, Counseling (Licence: PR 6612) | |
| 103TF0000X Psychologist, Family (Licence: PR 6612) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 6612) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-11-07 |