| NPI | 1851510515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 499) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 499) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: GA 499) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 499) | |
| 103TC0700X Psychologist, Clinical (Licence: GA 499) | |
| 103TC1900X Psychologist, Counseling (Licence: GA 499) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 499) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: GA 499) | |
| 103TF0000X Psychologist, Family (Licence: GA 499) | |
| 103TH0004X Psychologist, Health (Licence: GA 499) | |
| 103TH0100X Psychologist, Health Service (Licence: GA 499) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: GA 499) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: GA 499) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-09-27 |