| NPI | 1699291666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38182) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 29296) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2019-06-12 |