| NPI | 1366723074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00720200) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 99044615A) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003981) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS019949) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-09-09 |