| NPI | 1417137274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 3917) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: AZ 3917) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2015-05-30 |