| NPI | 1720283211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3797) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 24471) |
| 103TC0700X Psychologist, Clinical (Licence: OR 1108) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-02-06 |