| NPI | 1831977289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AL 2333) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: AL 2333) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |