NPI | 1588714018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 24457) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 24457) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-06-27 |