| NPI | 1992000145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 5408755-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 5408755-2501) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-06-22 |