| NPI | 1518100890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: GA PSY002254) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 2379) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |