| NPI | 1205185014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA psy003605) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 3605) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2020-02-25 |