| NPI | 1851990485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 38485) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38485) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2025-07-16 |