| NPI | 1134353931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY0003194) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003194) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2015-03-25 |