| NPI | 1356845978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37827) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37827) |
| 103TS0200X Psychologist, School (Licence: TX 70738) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-01-29 |