| NPI | 1174130801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40766) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0007044) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2026-06-19 |