| NPI | 1821350083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37267) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37267) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-08-11 |