| NPI | 1790438570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY11339) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL py11339) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-12-17 |