| NPI | 1619849817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 40725) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TX 40725) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-19 |