NPI | 1427857788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34486) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39898) |
103TS0200X Psychologist, School (Licence: TX 72425) | |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |