| NPI | 1346486537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY 003140) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY 003140) |
| 103TC1900X Psychologist, Counseling (Licence: GA PSY 003140) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |