NPI | 1134171655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: SC 877) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 877) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2021-05-25 |