| NPI | 1417373069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39811) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 26098) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2024-04-08 |