| NPI | 1114809712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 06842) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MD 06842) |
| 103TC0700X Psychologist, Clinical (Licence: MD 06842) | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |