| NPI | 1972342541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 41222) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006528) |
| 103T00000X Psychologist | |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2026-05-12 |