| NPI | 1780369389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: TX 72199) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NC 126030) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |