| NPI | 1396459053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 13011824-2501) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC0700X Psychologist, Clinical (Licence: UT 13011824-2501) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-07-10 |