| NPI | 1972798403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3053) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3053) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3053) | |
| 103TF0200X Psychologist, Forensic (Licence: NC 3053) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 3053) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |