| NPI | 1932255106 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NH 762)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 762)  | 
| Enumeration Date | 2007-01-28 | 
| Last Update Date | 2025-09-11 |