| NPI | 1437465788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 33726) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: TX 33726) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-12-12 |