| NPI | 1497769400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1568) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OR 1568) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-06-02 |