| NPI | 1194300822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38850) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70425) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |