| NPI | 1043739402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38071) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004671) |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2023-11-08 |