| NPI | 1689489148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TS0200X Psychologist School | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |