| NPI | 1811053283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2731) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002771) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-02-22 |