| NPI | 1184151250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |