| NPI | 1962503060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 1575) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 1575) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 1575) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-03-03 |