| NPI | 1902110190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10181) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TH0004X Psychologist, Health | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2020-10-19 |