| NPI | 1427424779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 3574) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2022-03-25 |