| NPI | 1508044967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11497) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6596) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 71007421) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2024-09-04 |