| NPI | 1548779838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TS0200X Psychologist School |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |