| NPI | 1083190284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36945) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70461) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |