| NPI | 1285006858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003502) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 003502) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 003502) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2022-09-08 |