| NPI | 1265602445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37749) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2946) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2024-02-27 |