| NPI | 1053712232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36431) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 36431) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2024-05-23 |