| NPI | 1275784621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3605) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003956) |
| 103TC0700X Psychologist, Clinical (Licence: GA 3956) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2025-02-21 |