| NPI | 1013341007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37394) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37394) |
| 103TC1900X Psychologist, Counseling (Licence: TX 37394) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 37394) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2023-11-27 |