| NPI | 1679340251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 71542) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40499) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2025-11-03 |