| NPI | 1831406297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5299) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY001897) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2023-06-27 |