| NPI | 1285408195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 39437) |
| 103TC0700X Psychologist, Clinical (Licence: TX 39437) | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |