| NPI | 1073791497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 100240) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3427) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2025-01-03 |