| NPI | 1538200399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03079) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 03079) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 03079) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-09-11 |