| NPI | 1215075866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36495) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY-624) |
| 103TC0700X Psychologist, Clinical (Licence: CA 23120) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-12-20 |