| NPI | 1922365311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003624) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1191) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-11-14 |