| NPI | 1891446977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07024) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-08-20 |