NPI | 1902426208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005248) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-005248) |
103TA0700X Psychologist, Adult Development & Aging (Licence: AZ PSY-005248) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ PSY-005248) | |
Enumeration Date | 2020-04-16 |
Last Update Date | 2024-11-09 |