| NPI | 1689099681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39298) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001328) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2022-05-25 |