| NPI | 1073704714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: GA PSY00347) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA PSY00347) |
| 103TC1900X Psychologist, Counseling (Licence: VA 0810004105) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2024-02-29 |