| NPI | 1437555166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 36796) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NY 013702) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |