| NPI | 1578814653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0810004296) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004296) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2023-08-08 |