NPI | 1851084016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 06897) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06897) |
Enumeration Date | 2023-06-01 |
Last Update Date | 2023-06-01 |