| NPI | 1275176307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004381) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810006476) |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-07-08 |