| NPI | 1881103257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS019684) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: UT 10460712-2501) |
| 103T00000X Psychologist (Licence: UT 10460712-2501) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: UT 10460712-2501) | |
| 103TC0700X Psychologist, Clinical (Licence: UT 10460712-2501) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-04-11 |