| NPI | 1215074786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003101) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003101) |
| 103TC0700X Psychologist, Clinical (Licence: NY 012193) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-01-09 |