NPI | 1649750753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39532) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10222) |
Enumeration Date | 2018-08-17 |
Last Update Date | 2022-12-06 |