| NPI | 1356386833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3998) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 32306) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2023-12-26 |