| NPI | 1104345321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 38480) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2025-04-02 |