| NPI | 1295888261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1502) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1502) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: OR 1502) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2021-08-26 |