| NPI | 1093339988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0011529) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 026135) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS020034) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-08-26 |