| NPI | 1396417077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 38868) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38868) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 38868) | |
| 103TC0700X Psychologist Clinical (Licence: TX 38868) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |