| NPI | 1477618346 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: OR 389)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 389)  | 
| Enumeration Date | 2006-12-22 | 
| Last Update Date | 2025-09-11 |