| NPI | 1245300706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 25562) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 30396) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |