| NPI | 1922291624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003118) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003118) |
| 103TC0700X Psychologist, Clinical (Licence: AL 1632) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004555) | |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2015-08-03 |