| NPI | 1265307029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2025047285) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-11-12 |