| NPI | 1083319925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 3342) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: OR 3422) |
| 103TC1900X Psychologist Counseling (Licence: OR 3342) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-05-24 |