| NPI | 1982883922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY3133) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6293) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |