| NPI | 1134575814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38133) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8054) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-04-19 |