| NPI | 1265976815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: OK 841) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: OK 841) |
| 103TC0700X Psychologist Clinical (Licence: OK 841) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |