NPI | 1053968545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006235) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2019-08-20 |
Last Update Date | 2024-01-17 |