| NPI | 1932143229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 174400000X Specialist (Licence: RI PS00950) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-03-25 |