| NPI | 1053521039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34472) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65083) |
| 103T00000X Psychologist (Licence: WA PY60077679) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-12-05 |