| NPI | 1174566285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WI 1632-57) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WI 1632-057) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-01-19 |