| NPI | 1609304195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TX Dignostician) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX Diagnostcian) |
| 174H00000X Health Educator | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-07-21 |