| NPI | 1700583614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004071) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5095) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-03-23 |