| NPI | 1023203023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 36147) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: TX 36147) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2013-06-04 |