| NPI | 1902658990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003967) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: GA PSY003967) |
| 103TS0200X Psychologist, School (Licence: GA PSY003967) | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |