| NPI | 1164268884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |