| NPI | 1578763017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38880) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3441) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-05-14 |