| NPI | 1386366631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39236) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 7766) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-07-26 |