NPI | 1891233789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37530) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37530) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2024-12-13 |