| NPI | 1104590165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 11881357-2501) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: UT 11881357-2501) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: UT 11881357-2501) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-02-17 |