| NPI | 1023256013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: OR 1888) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1888) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 1888) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2010-09-08 |