| NPI | 1124106307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36438) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 3226) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-06-17 |