| NPI | 1932739604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3211) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: OR 3211) |
| 103TH0100X Psychologist, Health Service (Licence: OR 3211) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OR 3211) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |