| NPI | 1184968042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 36024) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: TX 36024) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2017-07-26 |