| NPI | 1548658826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39751) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021746) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2024-08-27 |