| NPI | 1497835185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 30676) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI 917) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-03-20 |