| NPI | 1477866465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 8747) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 9199) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL PY8747) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2018-04-20 |