| NPI | 1447379557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 31710) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 33095) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-09-08 |