| NPI | 1760790307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3151) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61147796) |
| 103TC0700X Psychologist, Clinical (Licence: AK 197536) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 262698) | |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY2127) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2025-10-07 |