| NPI | 1487607917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32136) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 3-2136) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-03-20 |