| NPI | 1952351454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 477) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 477) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-12-07 |