| NPI | 1598435018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810009358) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS LP03080) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2021036323) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2026-08-03 |