| NPI | 1235556077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2249) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: OR 2249) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2015-11-17 |