| NPI | 1437228467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 25235) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 6627) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-06-14 |