| NPI | 1598896854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 24754) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: CA PSY 21235) |
| 103TC0700X Psychologist Clinical (Licence: TX 24754) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-03-20 |