| NPI | 1235228099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1386) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 1386) |
| 103TR0400X Psychologist, Rehabilitation (Licence: OR 1386) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-02-09 |