NPI | 1194213355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2017041333) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2023-11-01 |