| NPI | 1881656494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1215) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 03-9P) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-09-22 |