| NPI | 1760207336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40408) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70199) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |