| NPI | 1588126379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY11182) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 3982) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2021-10-28 |