| NPI | 1326225400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36025) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1027) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2016-07-05 |