| NPI | 1245309087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 9444446-2501) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 319903) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-05-24 |