| NPI | 1477628287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38562) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY14141) |
| 103TC0700X Psychologist, Clinical (Licence: NV PY1148) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-09-20 |