NPI | 1326883919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 14216361-2501) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11108) |
Enumeration Date | 2024-06-26 |
Last Update Date | 2025-05-14 |