| NPI | 1083266597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX 1285981290) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-04-22 |