| NPI | 1215241203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 91526542504) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 9152654-2501) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2024-03-07 |