| NPI | 1245399377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33849) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2006027462) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-05-12 |