| NPI | 1316389984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37175) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2013026764) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2016-07-14 |