| NPI | 1922681311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38883) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3701-57) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |