| NPI | 1407109572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36130) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 33707) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |