| NPI | 1013180413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2185) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2185) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2021-07-22 |