| NPI | 1871596023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5454) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY5454) |
| 103TH0100X Psychologist, Health Service (Licence: GA PSY002071) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY5454) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-06-11 |