| NPI | 1447017124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39895) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TX 39895) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-11-06 |