| NPI | 1225385149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002951) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 5950) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-10 |