| NPI | 1396768370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32684) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 32684) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-04-15 |