| NPI | 1922670132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1504) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TS0200X Psychologist, School | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OK RBT-21-175319) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2026-01-27 |