| NPI | 1235229766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34028) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1685) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-08-30 |