| NPI | 1093103889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36359) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 34426) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |