| NPI | 1689977084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38413) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 04586) |
| 103T00000X Psychologist (Licence: DC 1000544) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2021-06-23 |