| NPI | 1780806612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY 002201) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA Psy 002201) |
| 103TC0700X Psychologist, Clinical (Licence: GA Psy 002201) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |