| NPI | 1134533359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36731) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36731) |
| 103TC0700X Psychologist, Clinical (Licence: TX 81-1725911) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-05-07 |