| NPI | 1063705101 |
|---|---|
| Former Name | ANNETTE GINA EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34289) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17997) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2024-05-10 |