| NPI | 1427321314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36749) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24531) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-02-07 |