| NPI | 1861298879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ PSY-006020) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AZ PSY-006020) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-07-11 |