| NPI | 1952610610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003533) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PS-T000863) |
| 103T00000X Psychologist (Licence: NY 016719) | |
| 103TS0200X Psychologist, School (Licence: GA 891235) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2017-01-02 |