| NPI | 1689702540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1131) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 21847) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-07-20 |