| NPI | 1417751173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 41143) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 5431) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2026-06-23 |