| NPI | 1043742380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 5885) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: PR 5885) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2018-03-20 |