| NPI | 1386841153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003238) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: PA PS015143) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2009-02-06 |