| NPI | 1215309620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1365) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36667) |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2016-04-11 |