| NPI | 1154191948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP14928) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-07-08 |