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 |