| NPI | 1962243097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37887) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 71032) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |