| NPI | 1235190653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: SC 752) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: SC 752) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-12-02 |