| NPI | 1669801551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PY002169) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4335) |
| 103T00000X Psychologist (Licence: NE 1079) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2022-02-04 |