| NPI | 1336367218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2092) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2251) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-01-08 |