| NPI | 1427276146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1708) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: OR 1708) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |