| NPI | 1063108181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |