| NPI | 1881220697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TN 3686) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TN 3686) |
| 103TF0000X Psychologist Family (Licence: TN 3686) | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-11-27 |