| NPI | 1518340637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 3506-57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10565) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-07-21 |