| NPI | 1497641708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006902) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD psy6859) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-12-19 |