| NPI | 1801269014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 1490) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 202231) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2026-08-28 |