| NPI | 1982946935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36142) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8427) |
| 103T00000X Psychologist (Licence: TX 36142) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8427) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36142) | |
| 103TF0000X Psychologist, Family (Licence: FL PY8427) | |
| 103TF0000X Psychologist, Family (Licence: TX 36142) | |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2020-05-04 |