| NPI | 1801469291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38963) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 03333) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-07-03 |