| NPI | 1558160507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40476) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40476) |
| 103T00000X Psychologist (Licence: CA 35517) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 40476) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 35517) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 35517) | |
| 103TH0004X Psychologist, Health (Licence: TX 40476) | |
| 103TH0004X Psychologist, Health (Licence: CA 35517) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 40476) | |
| 103TH0100X Psychologist, Health Service (Licence: CA 35517) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |