| NPI | 1073672333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: FL PY3897) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY3897) |
| 103TF0000X Psychologist Family (Licence: FL PY3897) | |
| 103TH0100X Psychologist Health Service (Licence: FL PY3897) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-04-11 |