| NPI | 1861009417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003615) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003615) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 003615) | |
| 103TH0004X Psychologist, Health (Licence: CT 003615) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-02-19 |