| NPI | 1962436527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VT 048-0000301) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048-0000301) |
| 103TC1900X Psychologist, Counseling (Licence: VT 048-0000301) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: VT 048-0000301) | |
| 103T00000X Psychologist (Licence: VT 048-0000301) | |
| 103TF0000X Psychologist, Family (Licence: VT 048-0000301) | |
| 103TF0200X Psychologist, Forensic (Licence: VT 048-0000301) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: VT 048-0000301) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: VT 048-0000301) | |
| 103TH0004X Psychologist, Health (Licence: VT 048-0000301) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-11-15 |