| NPI | 1588281976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39557) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019045) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-07-31 |