| NPI | 1164974291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37706) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 37706) |
| 103TC0700X Psychologist, Clinical (Licence: TX 37706) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 37706) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-06-12 |