| NPI | 1689386625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC0700X Psychologist Clinical (Licence: MD 06958) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |