| NPI | 1760695068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-2839) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 22839) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-11-06 |