| NPI | 1053975268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004348) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA NA) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-01-03 |