| NPI | 1972385615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 34352) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 33548) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |