| NPI | 1073321089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: NC 6712) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 6712) |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |