| NPI | 1063514081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 2034) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY002452) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-05-02 |