| NPI | 1053381087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MO PY01083) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2025-09-11 |