| NPI | 1891248795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 4513) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4513) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-01-22 |