| NPI | 1265034870 |
|---|---|
| Former Name | AUDREY RAE WITRUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33102) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2026-03-10 |