NPI | 1639588379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37616) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37616) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2024-02-27 |