| NPI | 1053714592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PS-T001141) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PS-T001141) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY004761) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-02-10 |