| NPI | 1881986719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PY0752) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MS 53 921) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PYT140731) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-04-14 |