| NPI | 1831863638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39574) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39574) |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-11-09 |