| NPI | 1447352570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004265) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 871) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-11-05 |