| NPI | 1225698434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 6756) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 6756) |
| 103TH0100X Psychologist, Health Service (Licence: PR 6756) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-03-01 |