| NPI | 1780981746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3651) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PR 3651) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2022-11-04 |