| NPI | 1215240775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: GA PSY003639) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003639) |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2019-08-14 |