| NPI | 1669966842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37892) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023145) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2025-10-22 |