| NPI | 1891875696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 2014) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: AZ 2014) |
| 103G00000X Clinical Neuropsychologist (Licence: AZ 2014) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 2014) | |
| 103TC0700X Psychologist Clinical (Licence: AZ 2014) | |
| 103TC0700X Psychologist Clinical (Licence: NC 1473) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AZ 2014) | |
| 103TH0100X Psychologist Health Service (Licence: AZ 2014) | |
| 103TH0100X Psychologist Health Service (Licence: NC 1473) | |
| 103TR0400X Psychologist Rehabilitation (Licence: AZ 2014) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-01-04 |