| 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 |