| NPI | 1699819110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 251) |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103T00000X Psychologist (Licence: OR 251) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |