| NPI | 1093379786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010271) |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2019-04-28 |