| NPI | 1710959101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38305) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041928A) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-10-24 |