| NPI | 1275847469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36243) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TX 36243) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2016-08-09 |