| NPI | 1144660176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3403) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 12653) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |