| NPI | 1811327430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 38436) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38436) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2023-09-27 |