| NPI | 1386736866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34031) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 779) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-05-15 |