| NPI | 1811052947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2906) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 20075) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-07-25 |