| NPI | 1740582881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1641) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 9501) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004709) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 39174) | |
| 103TF0200X Psychologist, Forensic (Licence: AL 1641) | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2022-04-05 |