| NPI | 1497963003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PA) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32502) |
| 103TS0200X Psychologist, School (Licence: NV 0000073274) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-03-26 |