| NPI | 1710488408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 6811) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 1244890) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-10-19 |