| NPI | 1376199711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 06171) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: MD 06171) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2022-08-22 |