| NPI | 1316201635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 6191) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 23740) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |