| NPI | 1649717307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004035) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY004035) |
| 173F00000X Sleep Specialist, PhD (Licence: GA PSY004035) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-05-30 |