| NPI | 1548639008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1364) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: SC 1364) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: SC 1364) | |
| 103TS0200X Psychologist, School (Licence: SC 1364) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2023-04-27 |