| NPI | 1457851230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37474) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TX 37474) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: TX 37474) | |
| 103TS0200X Psychologist School (Licence: TX 70666) | |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2023-08-25 |