| NPI | 1861946188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 2374) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2374) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2023-11-14 |