| NPI | 1881754869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 004286) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: CO 3614) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 37581) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-04-11 |