| NPI | 1891553772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39682) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT 5097) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-10-20 |