| NPI | 1215100888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33075) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32308) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |