| NPI | 1184605602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 1473) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: OR 1473) |
| 103TC0700X Psychologist, Clinical (Licence: OR 1473) | |
| 103TC1900X Psychologist, Counseling (Licence: OR 1473) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 1473) | |
| 103TH0100X Psychologist, Health Service (Licence: OR 1473) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 1473) | |
| 103T00000X Psychologist (Licence: OR 1473) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |