| NPI | 1891744090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 027297) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-11-18 |