| NPI | 1245808161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 11526) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-11-09 |