| NPI | 1104495381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: GA PSY900271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: GA PSY900271) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-11-19 |