| NPI | 1053254102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40491) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 0007046) |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-06-25 |