| NPI | 1841375961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 31732) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 31732) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-04-09 |