| NPI | 1356654958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 29473) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 30285) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |