| NPI | 1669444386 |
|---|---|
| Former Name | INGRID CHARMAINE LIM JURICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1206) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AL 1206) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-09-21 |