| NPI | 1710664685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39525) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 2164) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |