| NPI | 1548573298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 4185) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 4185) |
| 103TF0000X Psychologist, Family (Licence: PR 4185) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: PR 4185) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2012-05-21 |