| NPI | 1073581781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.6997) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007242) |
| 103TC0700X Psychologist, Clinical (Licence: MO PYT0107) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00003686) | |
| 103TH0004X Psychologist, Health (Licence: WA PY00003686) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-10-15 |