| NPI | 1760030357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 06389) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2021-02-19 |