| NPI | 1104166578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004241) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: GA PSY004241) |
| 103TH0100X Psychologist, Health Service (Licence: GA PSY004241) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY004241) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004241) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2024-11-06 |