| NPI | 1346555828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI PSY 1198) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: HI PSY 1198) |
| 103TF0000X Psychologist Family (Licence: HI PSY 1198) | |
| 103TF0200X Psychologist Forensic (Licence: HI PSY 1198) | |
| 103TH0004X Psychologist Health (Licence: HI PSY 1198) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: HI PSY 1198) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |