| NPI | 1316447659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38242) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022571) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2019-07-12 |