NPI | 1942700612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY0005741) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY0005741) |
Enumeration Date | 2018-02-19 |
Last Update Date | 2022-04-25 |