| NPI | 1730381716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 001332) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AR 07-21P) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2015-04-07 |