| NPI | 1215060256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: GA PSY3099) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7463) |
| 103TF0200X Psychologist, Forensic (Licence: FL PY7463) | |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY3099) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-23 |