| NPI | 1710050919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: GA PSY002406) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY5933) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY002406) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY5933) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |