| NPI | 1801088729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003767) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2011028427) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2016-01-26 |