| NPI | 1790375350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: TX 38442) | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-10-30 |