| NPI | 1609275304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 41147) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 41147) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2026-07-21 |