| NPI | 1225122062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32604) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19487) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-05-31 |