| NPI | 1821720954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 12417605-2501) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: UT 12417605-2501) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-01-23 |