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 |