| NPI | 1043000896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 39449) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1876978) |
| 103TS0200X Psychologist, School (Licence: NJ 1164271) | |
| 103TC0700X Psychologist, Clinical (Licence: ZZ A39840) | |
| 103TS0200X Psychologist, School (Licence: TX 72901) | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |