| NPI | 1366225120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS019964) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 9821716) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |