| NPI | 1568814184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ PSY-005198) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 30045) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-12-10 |