| NPI | 1891931770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1111) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1111) |
| 103T00000X Psychologist (Licence: IL 071.007456) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: IL 071.007456) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: SC 1111) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: SC 1111) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: IL 071.007456) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: IL 071.007456) | |
| 103TC0700X Psychologist Clinical (Licence: IL 071.007456) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: SC 1111) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071.007456) | |
| 103TF0200X Psychologist Forensic (Licence: IL 071.007456) | |
| 103TH0004X Psychologist Health (Licence: IL 071.007456) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IL 071.007456) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: SC 1111) | |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2024-05-06 |