| NPI | 1871995977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3271) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36394) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2022-06-01 |