| 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 |