| NPI | 1952656993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 3185) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3185) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-07-10 |