| NPI | 1356774061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004582) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 8588) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2025-10-02 |