| NPI | 1952429235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003394) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1591) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-01-18 |