| NPI | 1235132499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2895) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 31887) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-11-18 |