| NPI | 1558987008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 1569) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1569) |
| 103TS0200X Psychologist, School (Licence: PR 1569) | |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-07-27 |