| NPI | 1235263732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002647) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY002647) |
| 103TF0000X Psychologist, Family (Licence: GA PSY002647) | |
| 106H00000X Marriage & Family Therapist (Licence: GA PSY002647) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-09-12 |