| NPI | 1699493452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-08-31 |