| NPI | 1326506908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004550) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12327) |
| 103T00000X Psychologist (Licence: MA 11615) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2024-12-06 |