| NPI | 1992724900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 422) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NH 422) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 4281) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NH 422) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MA 4281) | |
| 103TC1900X Psychologist, Counseling (Licence: NH 422) | |
| 103TC1900X Psychologist, Counseling (Licence: MA 4281) | |
| 103T00000X Psychologist (Licence: MA 4281) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-05-11 |