| NPI | 1386921468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2167) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2167) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-04-26 |