| NPI | 1891157707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37242) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 37242) |
| 103TH0004X Psychologist, Health (Licence: TX 37242) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-07-15 |