| NPI | 1366696296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1066) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY1066) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: HI PSY 1066) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2024-01-04 |