NPI | 1285317529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3838) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 3838) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 3838) | |
Enumeration Date | 2023-08-11 |
Last Update Date | 2025-02-06 |