| NPI | 1669844809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2639) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 27501) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-12-15 |