| NPI | 1245899871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 4798) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: TX 4798) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 4798) | |
| 103TF0000X Psychologist Family (Licence: TX 4798) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |