| NPI | 1952528952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2294) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3664) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3664) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AZ 3664) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-17 |