| NPI | 1760034276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38446) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2018042717) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-05-02 |