| NPI | 1790132793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3617-57) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 3617-57) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-10-27 |