| NPI | 1376494690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 39745) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39745) |
| 103G00000X Clinical Neuropsychologist (Licence: TX 39745) | |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-05-15 |