| NPI | 1003037441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35017) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 36-654) |
| 103TC0700X Psychologist, Clinical (Licence: TN 2826) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-05-21 |