NPI | 1538858717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39136) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 71902) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2023-05-03 |