| NPI | 1548088651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 30540) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 31690) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-10-02 |