| NPI | 1245449008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 3-1095) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 3-1095) |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 3-1095) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-07-15 |