| NPI | 1326570342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34508) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 33067) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-06-06 |