| NPI | 1174747679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32525) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32339) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-06-18 |