| NPI | 1336842517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 33997) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 32328) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |