| NPI | 1184965469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38742) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004401) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2022-08-04 |