| NPI | 1851455505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 16-23P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 16-23P) |
| 103TF0200X Psychologist, Forensic (Licence: AR 16-23P) | |
| 103TH0004X Psychologist, Health (Licence: AR 16-23P) | |
| 103TH0100X Psychologist, Health Service (Licence: AR 16-23P) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2017-05-18 |