| NPI | 1487988846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2797) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2797) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2022-04-25 |