| NPI | 1760522692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TX 32950) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TN 1923) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-01-19 |