| NPI | 1467938357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39025) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: TX 39025) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 39025) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 39025) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY11918) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY11918) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 39025) | |
| 103T00000X Psychologist (Licence: TX 39025) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY11918) | |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2025-10-17 |