| NPI | 1790206555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: GA PSY004351) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-07-06 |