| NPI | 1205443736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TN 3733) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-03-28 |