| NPI | 1255530473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0524) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 31768) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |