| NPI | 1639256233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2003030084) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810008022) |
| 103T00000X Psychologist (Licence: TX 38068) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-26 |