| NPI | 1841973930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 13456930-2501) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: UT 13456930-2501) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |