| NPI | 1902884323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 3008) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC PP3008) |
| 103TH0100X Psychologist Health Service (Licence: NC 3008) | |
| 103T00000X Psychologist (Licence: NC 3008) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NC 3008) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |