| NPI | 1487202511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 12367) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 6081) |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |