| NPI | 1487546040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS020455) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-005969) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-11-17 |