| NPI | 1730769175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39857) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32514) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2023-06-24 |