| NPI | 1336661354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 34765) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32791) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |