| NPI | 1326186453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P002569) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 32279) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-05-03 |