| NPI | 1548223258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1362) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1362) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-04-22 |