| NPI | 1114336617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 5080319-2501) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: UT 5080319-2501) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2026-02-12 |