| NPI | 1083893424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1494) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC0700X Psychologist, Clinical (Licence: TX 36419) | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2023-03-25 |