| NPI | 1598245292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 5393) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5393) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-12-06 |