| NPI | 1295163079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37108) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8254) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2016-09-06 |