| NPI | 1972342541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006528) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-11-25 |