| NPI | 1043185002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MO 2025036861) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2025036861) |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |