| NPI | 1356482475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38980) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24468) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-06-29 |