| NPI | 1851876312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3623-57) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 3623) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-07-14 |