NPI | 1760715809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: VA 08100005235) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
Enumeration Date | 2009-09-08 |
Last Update Date | 2021-06-17 |