| NPI | 1356425466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TN 1359) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P001359) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-03-23 |