| NPI | 1982983961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 36788) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: AR 13-10P) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-04-28 |