| NPI | 1184826901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY002823) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-10-06 |