| NPI | 1861903668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 5029) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5029) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-07-12 |