| NPI | 1093946915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003292) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003292) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2016-09-02 |