| NPI | 1669096988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38607) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9938) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-04-05 |