| NPI | 1962610006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2251) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: OR 2251) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-08-12 |