| NPI | 1972324226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008637) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 40762) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2026-01-24 |