| NPI | 1265152144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |