| NPI | 1427470624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2021-07-28 |