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 |