| NPI | 1063729614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NC 103344) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 103344) |
| 103TS0200X Psychologist, School (Licence: NC 103344) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2021-02-17 |