| NPI | 1063143048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39351) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |