| NPI | 1013075258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 115371-2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7242) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-12-06 |