| NPI | 1942941513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203575) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2024-08-13 |