| NPI | 1982330445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 4056-57) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WI 4056-57) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WI 4056-57) | |
| 103TS0200X Psychologist, School (Licence: WI 4056-57) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-07-31 |