| NPI | 1871543736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004463) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 8241) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-01-07 |