| NPI | 1013336510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2791) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2020-11-06 |