| NPI | 1003794314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40707) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 202504070) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-10-03 |