| NPI | 1760866008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 10068317-2501) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: 10068317-2501) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2025-11-13 |