| NPI | 1780840082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA PSY003417) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004565) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY003417) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2019-01-22 |