| NPI | 1275726382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33554) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 869) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-07-24 |