| NPI | 1184180283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37496) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 027130) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2025-07-02 |