| NPI | 1649249731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 4849720-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 4849720-2501) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-12-01 |