| NPI | 1265997076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 5493) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 5493) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-03-06 |