| NPI | 1902426208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ PSY-005248) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ PSY-005248) |
| 103T00000X Psychologist (Licence: AZ PSY-005248) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: AZ PSY-005248) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-03-24 |