| NPI | 1437489747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 35056) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 8350) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2025-03-24 |