| NPI | 1356547665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 22872) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: TX 22872) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2007-07-08 |