| NPI | 1366599862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33318) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 974) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-02-14 |