| NPI | 1922248186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: WI 2436-057) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WI 2436-057) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |