| NPI | 1366691024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0556) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37410) |
| 103T00000X Psychologist (Licence: NC 6646) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-11-15 |