| NPI | 1013508399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: 523388) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-07-22 |