| NPI | 1073687166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NV PY0677) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0677) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-10-02 |