| NPI | 1467805309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3212) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OR 3212) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-06-21 |