| NPI | 1003924184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 2495) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 23076) |
| 103T00000X Psychologist (Licence: TX 6697) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2023-10-27 |