| NPI | 1982902185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 8106647-2501) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MS 50871) |
| 103TC0700X Psychologist, Clinical (Licence: MS 50871) | |
| 103TH0004X Psychologist, Health (Licence: UT 8106647-2501) | |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2021-10-28 |