| NPI | 1366093148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 9286) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |