| NPI | 1114658986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39456) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043550A) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |