| NPI | 1245485507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1968) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 12529) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |