NPI | 1508469537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004638) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5826) |
103TC0700X Psychologist, Clinical (Licence: NC 5826) | |
103TH0004X Psychologist, Health (Licence: NC 5826) | |
Enumeration Date | 2020-11-20 |
Last Update Date | 2022-12-21 |