| NPI | 1518335280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 103TC0700X Psychologist, Clinical (Licence: OR 3276) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 3276) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2020-11-09 |