| NPI | 1790418655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3947) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 3947) |
| 103TC1900X Psychologist, Counseling (Licence: OR 3947) | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2025-09-05 |