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