| NPI | 1285035816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39494) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1282) |
| 103TC0700X Psychologist, Clinical (Licence: LA 1282) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2022-09-14 |