| NPI | 1831618784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38721) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA A6) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-04-14 |