| NPI | 1316404338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 11007) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11007) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-07-12 |