| NPI | 1205851995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5154) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 005597) |
| 103T00000X Psychologist (Licence: CO 0006061) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 24625) | |
| 103TS0200X Psychologist, School (Licence: TX 30404) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-01-12 |