| NPI | 1093189649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9289) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003958) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-06-11 |