| NPI | 1801313903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 37660) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37660) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-11-05 |