| NPI | 1134552979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38044) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4830) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2021-05-05 |