| NPI | 1376233312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 202467) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39291) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2026-09-17 |