| NPI | 1881912137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 15-06P) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003323) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-07-21 |