| NPI | 1992378434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 39371) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 390200000X) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-07-14 |