| NPI | 1104258292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37363) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2017-03-03 |