| NPI | 1962733345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3547) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: PR 3547) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 3547) | |
| 103TH0100X Psychologist, Health Service (Licence: PR 3547) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 3547) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2017-01-25 |