| NPI | 1497891915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 20195) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 20195) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |