| NPI | 1336797489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004321) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY004321) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004321) | |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |